Morgan Tessa, Ann Williams Lisa, Trussardi Gabriella, Gott Merryn
School of Nursing, Faculty of Medical and Health Sciences, The University of Auckland, Auckland, New Zealand
School of Nursing, Faculty of Medical and Health Sciences, The University of Auckland, Auckland, New Zealand.
Palliat Med. 2016 Jul;30(7):616-24. doi: 10.1177/0269216315625857. Epub 2016 Jan 26.
As societies age and governments attempt to manage within constrained health budgets by moving care into community settings, women will be called upon to provide more palliative care in old age. However, little is known about gendered disparities for caregivers of people over the age of 65 years.
To identify and synthesise the empirical literature between 1994 and 2014 that focusses on gender and family caregiving for people over the age of 65 years with a life-limiting illness.
Systematic review of qualitative and quantitative studies conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Supplemental review using a novel feminist quality appraisal framework.
Search of MEDLINE, CINAHL, PsycINFO, Sociological Abstracts and Gender Studies to find empirical studies on gender and family caregiving at end-of-life in the context of old age.
Of 19 studies identified, 9 presented thorough gender analyses. Gender themes included why people care, how they care, and the consequences of providing care. Women caregivers experienced a greater degree of mental and physical strain than their male counterparts. This was linked to societal expectation that women should provide a greater degree of care at the end-of-life for family members.
Palliative family caregiving for older adults is gendered. Gender affects why people care and the consequences of providing care. Palliative care literature needs to incorporate a greater gender focus for future research and policy makers need to be aware of the gendered ramifications of providing more palliative care in the community.
随着社会老龄化以及政府试图通过将护理转移到社区环境来在有限的卫生预算内进行管理，老年女性将被要求提供更多的姑息治疗。然而，对于65岁以上人群的照顾者的性别差异知之甚少。
识别并综合1994年至2014年间聚焦于患有危及生命疾病的65岁以上人群的性别与家庭护理的实证文献。
按照系统评价与Meta分析的首选报告项目指南对定性和定量研究进行系统评价。使用新颖的女性主义质量评估框架进行补充评价。
检索MEDLINE、CINAHL、PsycINFO、社会学文摘和性别研究，以查找关于老年临终时性别与家庭护理的实证研究。
在识别出的19项研究中，9项进行了全面的性别分析。性别主题包括人们为何提供护理、他们如何提供护理以及提供护理的后果。女性照顾者比男性照顾者经历了更大程度的身心压力。这与社会期望女性在临终时为家庭成员提供更多护理有关。
老年人的姑息家庭护理存在性别差异。性别影响人们为何提供护理以及提供护理的后果。姑息治疗文献在未来研究中需要更关注性别问题，政策制定者需要意识到在社区提供更多姑息治疗的性别影响。
